Current through Bulletin 2024-06, March 15, 2024
(1) The office may pay a medical service
provider who performs a medical forensic sexual assault examination:
(a) up to $1,250 for a complete medical
forensic sexual assault examination with photo documentation; and
(b) the full cost of any medications the
medical service provider gives directly to a victim during a medical forensic
sexual assault examination such as:
(i) the
morning after pill or high dose oral contraceptives for the prevention of
pregnancy; and
(ii) medication for
the treatment and prevention of sexually transmitted
diseases.
(2)
The office may pay a medical facility where a medical forensic sexual assault
examination is performed:
(a) 50% of the fee
for the use of an examination room to perform a medical forensic sexual assault
examination up to a maximum payment of $350; and
(b) the PEHP rate if one has been established
or 50% of the fee for:
(i) a history and
physical;
(ii) the collection of
specimens and wet mount for sperm;
(iii) testing for gonorrhea, chlamydia,
trichomonas, and other sexually transmitted diseases;
(iv) a serum blood test for pregnancy;
and
(v) the testing and treatment
of sexually transmitted diseases.
(3) To be eligible for reimbursement of a
medical forensic sexual assault examination, the medical service provider who
performed the sexual assault forensic examination shall:
(a) report the medical forensic sexual
assault examination to law enforcement; and
(b) only collect evidence with the permission
of the victim or the legal guardian of the victim.
(4) A request for reimbursement of medical
forensic sexual assault examination shall include:
(a) the victim's name, date of birth, or
facility patient number;
(b) a
description of what services were provided;
(c) an itemization of the services provided;
and
(d) either:
(i) the signature of a law enforcement
officer, victim advocate or service provider; or
(ii) the law enforcement case
number.
(5) The
applicant or medical service provider shall submit the request for
reimbursement to the office within one year from the date the medical forensic
sexual assault examination was performed.
(6) A victim may not be:
(a) charged for a medical forensic sexual
assault examination; or
(b)
required to participate in the criminal justice system or cooperate with law
enforcement or prosecuting attorneys as a condition of being provided a medical
forensic sexual assault examination.
(7) The office may not provide any
reimbursement for any costs associated with an over-the-counter sexual assault
evidence kit that is available to the public for at home collection of
evidence, including the cost of the kit and the cost of any testing performed
on the kit.
